中华现代护理杂志2024,Vol.30Issue(4) :500-504.DOI:10.3760/cma.j.cn115682-20230627-02538

肌萎缩侧索硬化症患者跌倒发生现状及影响因素分析

Current situation and influencing factors of falls in patients with amyotrophic lateral sclerosis

应华 杨秀 代泽惠 王攀峰 李葆华
中华现代护理杂志2024,Vol.30Issue(4) :500-504.DOI:10.3760/cma.j.cn115682-20230627-02538

肌萎缩侧索硬化症患者跌倒发生现状及影响因素分析

Current situation and influencing factors of falls in patients with amyotrophic lateral sclerosis

应华 1杨秀 2代泽惠 3王攀峰 2李葆华4
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作者信息

  • 1. 北京大学第三医院机场综合内科,北京 100191
  • 2. 北京大学第三医院肿瘤放疗科,北京 100191
  • 3. 北京大学第三医院门诊部,北京 100191
  • 4. 北京大学第三医院护理部,北京 100191
  • 折叠

摘要

目的 调查肌萎缩侧索硬化症(ALS)患者跌倒发生现状并分析影响因素.方法 采用便利抽样法,选取2023年2-4月北京大学第三医院神经内科收治的110例ALS患者作为研究对象.采用自设的患者一般资料及疾病相关调查表、Morse跌倒风险评估量表进行问卷调查.结果 共纳入100例ALS患者,ALS患者跌倒的发生率为45.0%(45/100);二项Logistic回归分析结果显示,步态异常、跌倒高风险、下肢肌力异常是ALS患者跌倒的危险因素(P<0.05).结论 步态异常、跌倒高风险、下肢肌力异常是ALS患者跌倒的独立影响因素,是预防和管理ALS患者跌倒的重要方面.

Abstract

Objective To investigate the current situation of falls in patients with amyotrophic lateral sclerosis(ALS)and analyze the influencing factors.Methods A total of 110 ALS patients admitted to Department of Neurology of Peking University Third Hospital from February to April 2023 were selected as the research objects by the convenient sampling method.The Self-designed Patient General Data and Disease-related Questionnaire and Morse Fall Scale(MFS)were used for questionnaire investigation.Results A total of 100 ALS patients were included,and the incidence of falls in ALS patients was 45.0%(45/100).Binomial Logistic regression analysis showed that gait abnormality,high risk of fall and abnormal muscle strength of lower extremity were risk factors for fall in ALS patients(P<0.05).Conclusions Abnormal gait,high risk of falls and abnormal lower limb muscle strength are independent factors affecting falls in ALS patients,and they are important aspects in preventing and managing falls in ALS patients.

关键词

肌萎缩侧索硬化/跌倒/现状/影响因素

Key words

Amyotrophic lateral sclerosis/Fall/Current situation/Influence factors

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出版年

2024
中华现代护理杂志
中华医学会

中华现代护理杂志

CSTPCD
影响因子:1.14
ISSN:1674-2907
参考文献量27
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